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  1. HOME
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  3. Morbidity audits
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  5. BreastSurgANZ Quality Audit
  6. Benefits of participating and performance indicators

Benefits of participating and performance indicators

Participating in the BreastSurgANZ Quality Audit (BQA) provides many benefits, including the ability for audit participants to check their performance against evidence-based performance indicators.

Benefits

Use the BQA online portal to:

  • collect and store patient data
  • produce summaries of individual breast cancer cases
  • assess practice against key performance indicators
  • export cases to Microsoft Excel for further analyses.

Other benefits include:

  • access to research generated from BQA data
  • pre-approval as an audit activity in the College's Continuing Professional Development program
  • promotion through the websites of Breast Cancer Network Australia and Cancer Australia as a quality assured surgeon
  • data request service at no cost, or minimal cost if high level of staff involvement is necessary.

Key Performance Indicators (KPIs)

These indicators are evidence-based and have been determined through extensive examination and discussion by audit governance, as well as consultation with other experts and stakeholders in the field of breast cancer treatment.

Audit participants can check their performance against these indicators at any time through the online portal. The practice value for each indicator is based on cases diagnosed between 2004 and the present day.

No. Key Performance Indicator
Quality threshold
1 Percentage of invasive cases undergoing breast conserving surgery referred for radiotherapy 85% or more
2 Percentage of oestrogen positive invasive cases referred for hormonal therapy 85% or more
3 Percentage of invasive cases undergoing axillary surgery 90% or more
4 Percentage of in situ cases undergoing breast surgery without axillary clearance 90% or more
5 Percentage of high risk invasive cases undergoing mastectomy referred for radiotherapy 85% or more
6 Percentage of high risk cases referred for chemotherapy 90% or more

 

High risk definitions

KPI 5: Invasive tumours of at least 50mm or with at least four positive lymph nodes

KPI 6: Invasive tumours that fall into any of the following categories:

  • Age less than 55 and Grade more than one and Tumour size more than two centimetres
  • Age less than 55 and Grade more than one and Tumour size not more than two centimetres and Nodes involved
  • Age not more than 70 and Tumour Her2 Positive and Tumour size more than five millimetres
  • Age not more than 70 and Receptors Triple Negative and Tumour size more than five millimetres.

High Quality Performance Indicators (HQPIs)

These are additional indicators for measuring quality care and work similarly to the existing key performance indicators.

Audit participants can check their practice value against each HQPI on the HQPI page of the BQA. The practice value for each indicator is based on cases diagnosed between November 2017 and the present day.

No. High Quality Performance Indicator
1 Rate of immediate breast reconstruction for in situ breast cancer patients requiring mastectomy
2 Rate of immediate breast reconstruction for invasive breast cancer patients requiring mastectomy
3 Rate of breast conservation for tumour < 2cm
4 Rate of involvement of a breast case nurse in management of the patient
5 Rate of discussion of patients at a multidisciplinary meeting
6 Rate of use of neo-adjuvant chemotherapy in women < 50yo
Back to BreastSurgANZ Quality Audit
  • About the Audit
  • Benefits of participating and performance indicators
  • BQA online portal & support
  • Data release
  • Research, Reports, Publications & Consumer Summaries
  • BQA governance
  • Contact

Related pages

Useful links

  • Breast Cancer Network Australia
  • Cancer Australia
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